A review of the literature, provided by a MEDLINE search from 1976 through April 1994 and review of selected journals published from April 1994 to November 1994, relative to reconstructive procedures of the mandible and maxilla in which endosseous implants have been placed in grafted bone was conducted. This review revealed that 591 patients received 733 grafts in which 2,315 implants were placed. The types of grafts reported were block, autogenous bone (nonvascularized or vascularized), and particulate with a variety of materials. Results of these grafts are presented with the different implant systems utilized. Wound dehiscence seems to have the most deleterious effect on implant survival rate.